(A)(1) TRUC mouse (8 wks) with anorectal prolapse. (2) Photograph distal colons RAG2-/- 4 wks (a) 8 wks (c) and TRUC 4 wks (b) 8 wks (d) (anorectal junction at bottom). Vertical bar delineates the inflamed, thickened colonic wall. Colonic wall thickening with prolapsed rectal mucosa in 8 wk TRUC. (3) Normal colonic mucosa 6 wk RAG2-/- mouse, 100x. (4) Representative disease 6 wk TRUC. Note mucosal thickening, surface ulceration, crypt distortion and hyperplasia, and dense mixed inflammatory cell infiltrate in the lamina propria (compare to panel 3), 100x. (B)Intra-rectal FITC-dextran was administered to 3.5 wk T-bet-/-, RAG2-/-, and TRUC. Serum fluorescence measured at the indicated time points. One representative exp of 3, n=4–6 per group, [p =.0002, 60 min TRUC vs RAG2-/-]. (C) Intra-rectal FITC-dextran administered to TRUC at 4, 5, and 6 wks. Serum fluorescence at the indicated time points, [p=.0036, 60 min 6 vs 5 wks]. One representative exp of 3, n= 5 per group.
(D) TRUC colonic tight junctions surveyed by EM: representative images prior to 2 wks (1), 3 wks (2), and 4 wks (3), 25,000x. (E) Colonic epithelial discontinuities present in 3.5 wk TRUC. Representative EM images, (1) 800x (2) 1500x (3) 1000x (4) 3000x. (F) Increased apoptosis in TRUC colonic epithelium. WT, T-bet-/-, RAG2-/-, and TRUC colonic epithelium at 5 wks stained with DAPI (blue) and TUNEL (green), 200x. (G) Epithelial crypt and TUNEL+ cell counts. 5 slides generated from each genotype group (2–3 mice per genotype). 500 crypts per genotype were scored.